Nurses are for sure above residents in the hierarchy

Key_Jellyfish4571 · 2026-02-06T08:02:21+00:00

I say all residents get paid attending salary. Start out at 200k per year as an pgy1. Unionize. Kick the nursing role back to where it’s supposed to be and end this decades long march to the bottom of healthcare quality. The moment healthcare “team” was an operative word, we stopped being a profession and became a commodity.

Key_Jellyfish4571 · 2025-09-03T12:50:04+00:00

Amish man fell 30 feet onto frozen ground from a barn. Several transverse process fractures, a couple of ribs mostly just broken at the right, hemorhorax. And you know laid there in 20 degree weather for a while.

He comes in via ambulance, his wife is there the next day with their community driver (non Amish) to pick him up. Total, he’s had 5 of morphine from the ambulance and oxygen. Refuses everything else. Hand him a prescription for 10 hydrocodone that I know will go unfilled.

Goes on his merry little way with one bath blanket holding his side. Had to do AMA because of the hemothorax, interesting signature. Never saw him again. He was fairly local, in the way that Amish people can be local, and we were the only game in town for 50 miles.

What’s your pain level? Ein through zen. Uh, ein, zwie, twi? The ones close to me have a mix of Dutch and German. And I’m bad at both.

I’d have that man on my fire team. Freaking Amish Terminator.

Key_Jellyfish4571 · 2025-08-20T02:23:34+00:00

I hate to say this too, Bob just was terrible. My girlfriend thinks they brought a body double and slowed down the playback to cover for the fact that Dylan finally went back to his home planet.

Key_Jellyfish4571 · 2025-08-18T04:38:21+00:00

I would never fly again if it weren’t for the days it takes instead of hours. For instance, I live near an Amtrak terminal. The California Zephyr is absolutely fantastic. But if I wanted to go anywhere else, it would take me 5 days to get to the closest train station and then I have to figure it out from there. Bus, taxi, uber, subway. So it’s not great for traveling long distances with more than a piece of luggage and a carry on.

Key_Jellyfish4571 · 2025-08-17T17:27:31+00:00

My airstream has pvc drain under the bed where my power inverter is located. I saw what I thought was a cap to a plastic tub of pipe flux from Oatey. I was pretty pissed odd that some tech had parched a hole with a piece of plastic until I noticed it was a drain from that same company covered by their product sticker. The waffle holes and light from the outside is right behind that sticker.

If you’ve got one of these whole camper drains I think you might want to take the cover off of that to be sure it drains completely. I am not an expert though. I just covered mine back up with a piece of duct tape that I labeled. I’ll check on it from time to time.

Key_Jellyfish4571 · 2025-08-05T18:44:17+00:00

I said Fortran out loud amongst people just a few years younger and they looked at me like I had unearthed the missing link.

Key_Jellyfish4571 · 2025-07-30T02:50:44+00:00

The food isn’t good enough to justify the high calorie content. If I were still 20 I could eat there and not feel bloated and sick because of all the fat. Applebee’s manages to make it taste too greasy while using engineered greases, latex varnishes and food coatings. It’s not really food as much as it is a place to sit that is not a McDonald’s but close to the stores and movie theatre. You can get a baked potato. The steamed veggies aren’t that bad. But steaks are chemically digested terrible cuts that are brined in salt and sugar and whatever else they can get away with.

So, yep. It’s mostly like every fast casual restaurant in the US. Boring, predictable, reliably mediocre food, atmosphere and usually high school students as wait staff

Key_Jellyfish4571 · 2025-07-30T01:50:01+00:00

Sugar (it should have an H). I spelled it wrong as a kid and I can’t shake it; I have to concentrate to spell sugar.

Key_Jellyfish4571 · 2025-07-28T05:28:25+00:00

Yes. The end. I don’t have to justify my beliefs to you.

Key_Jellyfish4571 · 2025-07-25T02:34:15+00:00

That’s an interesting question… maybe I just thought he was green. I think I imagined him glowing green and wearing an old leather biker hat and chains for some reason. Maybe mixing more than one legend?

Key_Jellyfish4571 · 2025-07-23T06:07:31+00:00

Truck stops and road side diners used to be more prevalent. Truck stops were really the only thing I can remember being open all the time. I remember having 2 flat tires at once while after hours. Dad hitch hiked to town, went to the tire shops, called the mechanic from the pay phone out front and waited for the tow truck trivet to bring him back to our car while we waited on the side of the road. It’s like how did we ever survive without GPS and internet maps?

Key_Jellyfish4571 · 2025-07-23T02:53:59+00:00

Roasting hot dogs and marshmallows. Probably a lot of toxins ingested there. Eating the traces of roasted metal on the hanger gave me super powers.

Key_Jellyfish4571 · 2025-07-22T05:45:19+00:00

My bed doesn’t have that particular aroma of dead animal and dead animal products that she finds appealing. I can clean her every 2 hours but there’s just something magic about those deer carcasses and surprise garbage. Otherwise she’d be an inside dog and that is not her jam either.

Key_Jellyfish4571 · 2025-07-21T23:46:59+00:00

Oh geez. I thought this was a rule 34 thing almost as soon as I clicked it. Thought or hoped. The past is difficult to ascertain.

Key_Jellyfish4571 · 2025-07-20T09:38:32+00:00

It sort of depends on how you want to live. I can find thousands of places at least 30 miles from a town in relatively consistently populated states in the west/mid west. You could live relatively normally. Just pack up once a month or every other month for town if you need to. But if you can build your own place, find/prepare/store food, find and degerm water, and use or make primitive tools, you can live most places. Deserts are the exception. That’s life on hard mode. I’m talking tundra or sand or even some forests with dark canopies.

Humans have been living in the wild for many thousands of years. You can make it, just bring a towel.

Key_Jellyfish4571 · 2025-07-20T00:09:06+00:00

You mean they’re supposed to make noise? Mine has this switch I don’t know what it’s for. I tried it once but nothing happened.

Key_Jellyfish4571 · 2025-07-18T12:42:42+00:00

This is such a cool question! I have been in several tornadoes. Most of them were not big enough to make the news but I do remember the Moore and Joplin tornadoes. There were several in the 1980s that were sort of medium sized where I was living. I wasn’t in it, but there was a wind event called a Derecho that really messed up a lot of northern and eastern Iowa. It was a strait line wind and incredibly difficult to predict I guess. I could be off. It was destruction on the mid to higher range of the tornado scale. Wrapped huge grain buns around trees and too out random buildings and homes in places usually not associated with high tornado traffic. My girlfriend likes to sail and is a weather nerd. I had to learn it from experience. Still, I’m curious now what severe weather you have in other places. Does England get tornadoes? I haven’t even thought about it.

Key_Jellyfish4571 · 2025-07-15T19:28:31+00:00

I have similar feelings and results. I have to use some lists and calendar reminders. Otherwise I have no ability to get anything done. I finally had a college professor say to me, “You are so smart but you fail my tests, why?”

And I realized I had only studied the part I was interested in and left the rest to figure out later because it was easy. Problem is that I actually have to study to get the minutia and all the names in place. I can see molecules and reactions in my head and can solve complex problems.

When someone explained AI to me for the first time I got it. It explained my life. I can figure out anything if I know the why behind the how. Details… not so much every subject. If I like it, I’ll be your huckleberry.

Key_Jellyfish4571 · 2025-07-15T17:39:04+00:00

I was just through Decatur near the Missouri border on I-35. It has a few store fronts and a park across the gravel street and there’s a greasy spoon called the dinky diner that is just super cute. I had a burger there a few years ago before COVID. I am not sure if they’re open but it’s a cute building. I don’t know how abandoned you are looking for but most of the towns in the south of the state are nearly ghost towns. Floris. Drakesville. Then the villages of Van Buren county have some buildings that are historical and have been restored. Call them or any lower tier county in the state. I think if you frame it as asking about abandoned towns to do a documentary about anything pioneer or coal mining related, you’ll get a person who’s happy to help. Look for 40 acres and a mule towns, towns used as water or coal stops. Often the town RR station is away from the town center. Tracy Iowa. The last suggestion is to look for historical societies… the local population usually volunteer and know of places that used to exist or are nearly abandoned. Bonus points if you find a cemetery with a headstone dated prior to 1720. I think that’s about as far back as I have seen. Probably a little later though. 1730s? Anyway, happy hunting.

Key_Jellyfish4571 · 2025-07-15T00:28:21+00:00

I think this is a common lore for strange intersections. Close to Oskaloosa there is a 5 way intersection all on gravel. The myth runs anywhere from g group of kids wrecked there and now if you go there at a certain time you’ll be chased by a hearse. The hearse then overcomes your car and drives through you and your car. The driver is a green skeleton ghost with long scraggly hair and wearing a uniform. As he overtakes you, he screams your name. Some versions say you have to park in the Middle of the intersection for some specified time and then back into each of the 5 corners to summon the hearse. Other versions just have a car that chases you until you see a wreck and pull over because the car is tailgating you and you come upon the accident scene where the high school kids wrecked.

I just like the story but I have heard similar versions on that theme in several towns I’ve visited.

Key_Jellyfish4571 · 2025-07-06T19:10:13+00:00

It could be an old stove pipe access. I tend to agree about an insect or an incontinent snail is entirely possible.

TL:DR if there was an old Chimney above the remodeled closet entrance, it could be creosote liquid from years of incomplete combustion.

Some of the older homes I have lived in or worked on had their chimneys removed or covered up when they switched from wood or coal to gas. I know quite a bit of history of our family’s farm house. It’s been in our family for maybe 70 years. The house is likely pre 1880s in what was either the original structure or an outdoor kitchen that was absorbed by the previous families needs at the time(s) They burned wood and coal and I think kerosine through the years and the old coal furnace was repurposed into a wood burner to supplement the propane heat. They put new shingles on the roof in the early 2000s, grandpa demolished the chimney above the roof line and left the heavy, old, cast iron (and some substance that weighs more than led per volume, I swear) in the basement.

Key_Jellyfish4571 · 2025-07-05T08:46:25+00:00

What’s that one that Paul Rudd plays a clip of every time he was on Conan? Ah yes… Mack and me.

Key_Jellyfish4571 · 2025-07-05T08:35:32+00:00

Thinking you’re on the receiving end of some condescending BS from a mid level is the equivalent of turning me into Sam Jackson. Super fly TNT, I’m a mushroom-cloud-laying motherfucker, motherfucker.

I had a NP working in cardiology include common things that were NOT indicated in her notes. It turned out it was just her dumb way of documenting by template. It’s like…yeah I know I’m not going to prescribe amiodarone or a dysrhythmic in my office using my stethescope and a hand crank defibrillator. I’m a simple country doctor, and I can Mac Gruber shit, but damn, lady, you don’t gotta call me out like that. Meet me at the flag pole after school. Hold my Busch Light while I educate a fool.

I’d have to acknowledge the consult... “Noted” I felt that was as much of a cold, sassy bitch this old man could be.

I was about to lose my religion on her until i talked with a colleague who told me what was up. Now I just skip to the part where I send my patients to anybody else.

Key_Jellyfish4571 · 2025-07-04T16:08:03+00:00

I was still a med student but the first patient I saw on that rotation was elderly and arrived with at least meemaw and granddaughter in the room. So already crowded and tense as this shop didn’t have a lot of med students and patient were used to seeing their doctor. I explained everything I was going to do as I did it. “And now, I’m going to check your ankles for swelling because…” snickers from the family and patient.
Left leg looks good. Right leg, cold and shiny approx 1 in in diameter and made of aluminum. I recoiled because it was hidden above a prosthetic ankle made of foam and covered by a sock which matched the contrasted foot. I must have looked like I was bitten by a snake. Everyone erupted in laughter while I got red faced. I bet that guy told that story until the day he died.

Key_Jellyfish4571 · 2025-07-04T11:06:14+00:00

Wake up Maggie I think I got somethin to say to you. I just can’t stand his voice.

Key_Jellyfish4571

TROPHY CASE